Latest & greatest articles for sedation

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Top results for sedation

21. Chloral hydrate as a sedating agent for neurodiagnostic procedures in children.

Chloral hydrate as a sedating agent for neurodiagnostic procedures in children. BACKGROUND: Paediatric neurodiagnostic investigations, including brain neuroimaging and electroencephalography (EEG), play an important role in the assessment of neurodevelopmental disorders. The use of an appropriate sedative agent is important to ensure the successful completion of the neurodiagnostic procedures, particularly in children, who are usually unable to remain still throughout the procedure. OBJECTIVES (...) , with 95% confidence intervals (CIs). MAIN RESULTS: We included 13 studies with a total of 2390 children. The studies were all conducted in hospitals that provided neurodiagnostic services. Most studies assessed the proportion of sedation failure during the neurodiagnostic procedure, time for adequate sedation, and potential adverse effects associated with the sedative agent.The methodological quality of the included studies was mixed, as reflected by a wide variation in their 'Risk of bias' profiles

Cochrane2017

22. Risk Factors for Adverse Events in Emergency Department Procedural Sedation for Children

Risk Factors for Adverse Events in Emergency Department Procedural Sedation for Children 28828486 2017 08 22 2017 10 06 2017 10 06 2168-6211 171 10 2017 Oct 01 JAMA pediatrics JAMA Pediatr Risk Factors for Adverse Events in Emergency Department Procedural Sedation for Children. 957-964 10.1001/jamapediatrics.2017.2135 Procedural sedation for children undergoing painful procedures is standard practice in emergency departments worldwide. Previous studies of emergency department sedation (...) are limited by their single-center design and are underpowered to identify risk factors for serious adverse events (SAEs), thereby limiting their influence on sedation practice and patient outcomes. To examine the incidence and risk factors associated with sedation-related SAEs. This prospective, multicenter, observational cohort study was conducted in 6 pediatric emergency departments in Canada between July 10, 2010, and February 28, 2015. Children 18 years or younger who received sedation for a painful

EvidenceUpdates2017

23. Oral Midazolam and Intranasal Midazolam are equally effective when used for conscious sedations in short procedures in pediatric dentistry.

Oral Midazolam and Intranasal Midazolam are equally effective when used for conscious sedations in short procedures in pediatric dentistry. UTCAT3283, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Oral Midazolam and Intranasal Midazolam are equally effective when used for conscious sedations in short procedures in pediatric dentistry. Clinical Question For a dental pediatric patient, will intranasal midazolam (...) as compared to oral midazolam be more effective for use in conscious sedation? Clinical Bottom Line For dental pediatric patient intranasal midazolam and oral midazolam are equally effective when used in conscious sedation in short procedures in pediatric dentistry. Intranasal midazolam has a shorter onset and shorter working time when compared to oral midazolam. It is important to take the onset time and duration time into consideration when deciding which medications to use for treatment of pediatric

UTHSCSA Dental School CAT Library2017

24. Forced air warming during sedation in the cardiac catheterisation laboratory: a randomised controlled trial

Forced air warming during sedation in the cardiac catheterisation laboratory: a randomised controlled trial 28988209 2017 10 08 2017 10 08 1468-201X 2017 Oct 07 Heart (British Cardiac Society) Heart Forced air warming during sedation in the cardiac catheterisation laboratory: a randomised controlled trial. heartjnl-2017-312191 10.1136/heartjnl-2017-312191 Forced air warming (FAW) during general anaesthesia is a safe and effective intervention used to reduce hypothermia. The objective (...) of this study was to determine if FAW reduces hypothermia when used for procedures performed with sedation in the cardiac catheterisation laboratory. A parallel-group randomised controlled trial was conducted. Adults receiving sedation in a cardiac catheterisation laboratory at two sites were randomised to receive FAW or usual care, which involved passive warming with heated cotton blankets. Hypothermia, defined as a temperature less than 36°C measured with a sublingual digital thermometer after procedures

EvidenceUpdates2017

25. Considerations for pediatric burn sedation and analgesia

Considerations for pediatric burn sedation and analgesia 29051890 2018 11 13 2321-3868 5 2017 Burns & trauma Burns Trauma Considerations for pediatric burn sedation and analgesia. 28 10.1186/s41038-017-0094-8 Burn patients experience anxiety and pain in the course of their injury, treatment, and recovery. Hence, treatment of anxiety and pain is paramount after burn injury. Children, in particular, pose challenges in anxiety and pain management due to their unique physiologic, psychologic (...) , and anatomic status. Burn injuries further complicate pain management and sedation as such injuries can have effects on medication response and elimination. Burn injuries further complicate pain management and sedation as such injuries can have effects on medication response and elimination. The purpose of this review is to describe the challenges associated with management of anxiety, pain, and sedation in burned children and to describe the different options for treatment of anxiety and pain in burned

Burns & trauma2017 Full Text: Link to full Text with Trip Pro

26. Effect of Different Sedation Regimes on Cognitive Functions in Colonoscopy

Effect of Different Sedation Regimes on Cognitive Functions in Colonoscopy 29201800 2018 11 13 2231-5047 7 2 2017 Jul-Dec Euroasian journal of hepato-gastroenterology Euroasian J Hepatogastroenterol Effect of Different Sedation Regimes on Cognitive Functions in Colonoscopy. 158-162 10.5005/jp-journals-10018-1239 To compare the effects of propofol/remifentanil and meperidine/midazolam on postprocedure cognitive function. A total of 100 American Society of Anesthesiologists (ASA) score I to III (...) of 5 mg midazolam and 50 mg meperidine) was given when bispectral index (BIS) was >80. In group RP, 100 μg/kg/minute propofol infusion and 1 μg/kg remifentanil bolus was administered and additional 0.5 μg/kg remifentanil bolus was given when BIS was >80. Observer's Assessment of Alertness/Sedation scale (OAA/S) and Facial Pain Score (FPS) values were recorded. Cognitive function was measured by Trieger Dot Test (TDT) and Digit Symbol Substitution Test (DSST). The study was concluded with 100

Euroasian journal of hepato-gastroenterology2017 Full Text: Link to full Text with Trip Pro

27. Adverse Events With Ketamine Versus Ketofol for Procedural Sedation on Adults: A Double-blind, Randomized Controlled Trial

Adverse Events With Ketamine Versus Ketofol for Procedural Sedation on Adults: A Double-blind, Randomized Controlled Trial 28493642 2017 05 11 2017 07 14 1553-2712 2017 May 11 Academic emergency medicine : official journal of the Society for Academic Emergency Medicine Acad Emerg Med Adverse Events With Ketamine Versus Ketofol for Procedural Sedation on Adults: A Double-blind, Randomized Controlled Trial. 10.1111/acem.13226 The goal of our study was to compare the frequency and severity (...) of recovery reactions between ketamine and ketamine-propofol 1:1 admixture ("ketofol"). We performed a multicentric, randomized, double-blind trial in which adult patients received emergency procedural sedations with ketamine or ketofol. Our primary outcome was the proportion of unpleasant recovery reactions. Other outcomes were frequency of interventions required by these recovery reactions, rates of respiratory or hemodynamic events, emesis, and satisfaction of patients as well as providers. A total

EvidenceUpdates2017

28. General Anesthesia Versus Conscious Sedation for Endovascular Treatment of Acute Ischemic Stroke: The AnStroke Trial (Anesthesia During Stroke)

General Anesthesia Versus Conscious Sedation for Endovascular Treatment of Acute Ischemic Stroke: The AnStroke Trial (Anesthesia During Stroke) 28522637 2017 05 19 2017 05 23 1524-4628 48 6 2017 Jun Stroke Stroke General Anesthesia Versus Conscious Sedation for Endovascular Treatment of Acute Ischemic Stroke: The AnStroke Trial (Anesthesia During Stroke). 1601-1607 10.1161/STROKEAHA.117.016554 Retrospective studies have found that patients receiving general anesthesia for endovascular treatment (...) in acute ischemic stroke have worse neurological outcome compared with patients receiving conscious sedation. In this prospective randomized single-center study, we investigated the impact of anesthesia technique on neurological outcome in acute ischemic stroke patients. Ninety patients receiving endovascular treatment for acute ischemic stroke in 2013 to 2016 were included and randomized to general anesthesia or conscious sedation. Difference in neurological outcome at 3 months, measured as modified

EvidenceUpdates2017

29. Clonidine for sedation and analgesia for neonates receiving mechanical ventilation.

Clonidine for sedation and analgesia for neonates receiving mechanical ventilation. BACKGROUND: Although routine administration of pharmacologic sedation or analgesia during mechanical ventilation in preterm neonates is not recommended, its use in clinical practice remains common. Alpha-2 agonists, mainly clonidine and dexmedetomidine, are used as adjunctive (or alternative) sedative agents alongside opioids and benzodiazepines. Clonidine has not been systematically assessed for use in neonatal (...) sedation during ventilation. OBJECTIVES: To assess whether clonidine administered to term and preterm newborn infants receiving mechanical ventilation reduces morbidity and mortality rates. To compare the intervention versus placebo, no treatment, and dexmedetomidine; and to assess the safety of clonidine infusion for potential harms.To perform subgroup analyses according to gestational age; birth weight; administration method (infusion or bolus therapy); dose, duration, and route of clonidine

Cochrane2017

30. Short-Term Health-Related Quality of Life of Critically Ill Children Following Daily Sedation Interruption

Short-Term Health-Related Quality of Life of Critically Ill Children Following Daily Sedation Interruption PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

PedsCCM Evidence-Based Journal Club2017

31. Dexmedetomidine for Sedation in the Critical Care Setting: An Economic Assessment

Dexmedetomidine for Sedation in the Critical Care Setting: An Economic Assessment Dexmedetomidine for Sedation in the Critical Care Setting: An Economic Assessment | CADTH.ca CADTH Document Viewer Dexmedetomidine for Sedation in the Critical Care Setting: An Economic Assessment Table of Contents Search this document Dexmedetomidine for Sedation in the Critical Care Setting: An Economic Assessment March 2017 Summary Findings from a focused clinical review of the comparative effectiveness (...) ) in specific populations and settings, based on clinical studies selected from the clinical review in consultation with a Canadian clinical expert as most relevant to the Canadian clinical setting. The results of the analysis indicate that dexmedetomidine may be cost saving based on the underlying assumptions, which may differ between clinical settings. Background In 2014, CADTH undertook two rapid response projects, Dexmedetomidine for Sedation of Patients in the ICU or PICU: Review of Clinical

CADTH - Plasma Products2017

32. Dexmedetomidine for Sedation in the Critical Care Setting: An Economic Assessment

Dexmedetomidine for Sedation in the Critical Care Setting: An Economic Assessment Dexmedetomidine for Sedation in the Critical Care Setting: An Economic Assessment | CADTH.ca CADTH Document Viewer Dexmedetomidine for Sedation in the Critical Care Setting: An Economic Assessment Table of Contents Search this document Dexmedetomidine for Sedation in the Critical Care Setting: An Economic Assessment March 2017 Summary Findings from a focused clinical review of the comparative effectiveness (...) ) in specific populations and settings, based on clinical studies selected from the clinical review in consultation with a Canadian clinical expert as most relevant to the Canadian clinical setting. The results of the analysis indicate that dexmedetomidine may be cost saving based on the underlying assumptions, which may differ between clinical settings. Background In 2014, CADTH undertook two rapid response projects, Dexmedetomidine for Sedation of Patients in the ICU or PICU: Review of Clinical

CADTH - Plasma Products2017

33. Capnography versus standard monitoring for emergency department procedural sedation and analgesia.

Capnography versus standard monitoring for emergency department procedural sedation and analgesia. BACKGROUND: Procedural sedation and analgesia (PSA) is used frequently in the emergency department (ED) to facilitate painful procedures and interventions. Capnography, a monitoring modality widely used in operating room and endoscopy suite settings, is being used more frequently in the ED setting with the goal of reducing cardiopulmonary adverse events. As opposed to settings outside the ED

Cochrane2017

34. IM Ketamine for Prehospital Sedation of the Agitated Patient

IM Ketamine for Prehospital Sedation of the Agitated Patient Emergency Medicine > Journal Club > Archive > November 2016 Toggle navigation November 2016 IM Ketamine for Prehospital Sedation of the Agitated Patient Vignette You are working a night shift in EM-1 and have just started to catch up after signout, consisting of more than a few inebriated patients awaiting sobriety, when you hear commotion out in the hall. EMS and police are bringing in a large, screaming, Blailing, adult male patient (...) that might reduce the chances for injury of the patient and providers? How about something that is more rapid in onset than our old “5 and 2”? You remember hearing that ketamine is now being stocked on some ambulances for this purpose. When you wake up the next day after your shift you decide to look into the evidence behind prehospital ketamine for agitated patients. PICO Question Population: Adult patients with severe agitation requiring chemical sedation in the prehospital setting Intervention: IM

Washington University Emergency Medicine Journal Club2017

35. Rapidly reversible, sedation-related delirium versus persistent delirium in the intensive care unit

Rapidly reversible, sedation-related delirium versus persistent delirium in the intensive care unit PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

PedsCCM Evidence-Based Journal Club2017

36. Conscious sedation in dentistry.

Conscious sedation in dentistry. Conscious sedation in dentistry. | National Guideline Clearinghouse success fail May JUN 09 2017 2018 2019 18 May 2018 - 12 Jul 2018 COLLECTED BY Organization: Formed in 2009, the Archive Team (not to be confused with the archive.org Archive-It Team) is a rogue archivist collective dedicated to saving copies of rapidly dying or deleted websites for the sake of history and digital heritage. The group is 100% composed of volunteers and interested parties, and has (...) have an account? The AHRQ National Guideline Clearinghouse (NGC, guideline.gov) Web site will not be available after July 16, 2018 because federal funding through AHRQ will no longer be available to support the NGC as of that date. For additional information, read our . Guideline Summary NGC:011290 2017 Jun NEATS Assessment Conscious sedation in dentistry. Scottish Dental Clinical Effectiveness Programme. Conscious sedation in dentistry: dental clinical guidance. Dundee (Scotland): Scottish Dental

National Guideline Clearinghouse (partial archive)2017

38. Second thoughts about palliative sedation

Second thoughts about palliative sedation Second thoughts about palliative sedation | Evidence-Based Nursing This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers (...) of institutional accounts Username * Password * your user name or password? You are here Second thoughts about palliative sedation Article Text Editorial Second thoughts about palliative sedation Robert Twycross Correspondence to: Dr Robert Twycross, Emeritus Clinical Reader in Palliative Medicine, University of Oxford, Oxford, UK; rob.twycross{at}spc.ox.ac.uk Statistics from Altmetric.com ‘When I use a word,’ Humpty Dumpty said, ‘it means just what I choose it to mean—neither more nor less’. ‘The question

Evidence-Based Nursing (Requires free registration)2017